What could be causing eyelid asymmetry and how can it be corrected? (photos)

Question

22F, my left eyelid is different than the right one since I can remember. My question is what the cause could be is it fat related, ptosis, eyebrow position etc. ? ( I feel like my left crease starts of higher and the eyebrow fat just kind of lies on top of my eyeball )

Kenneth D. Steinsapir, MD · Answer

Your crease asymmetry suggests you have a partial central disinsertion of the levator aponeurosis. This is actually going on in both upper eyelids. There is more retraction of pre-aponeurotic fat on the left side. This may have an affect on the position of the upper eyelid margins but that can't be discerned from these photos. Also also have a relative disinsertioin of the lateral canthal angle but again that can't be discerned from this set of photos.

What could be causing eyelid asymmetry and how can it be corrected? (photos)

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What could be causing eyelid asymmetry and how can it be corrected? (photos)

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